16 results
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
GI Bleeding Acute ... Risk 60-100% Ib ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... fistula Lower: • Bowel ... Inflammatory: Ischemic ... Infectious colitis, UC/Chrons ... (IBD), Radiation
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... are without endoscopic ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Inflammatory: - Ischemic ... Colitis - IBD ... Differential #Diagnosis #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Family history of IBD ... Consider tumor • Upper ... mesenteric ischemia ... • GI malignancy ... Differential #Diagnosis #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Prokinetics dec. repeat EGD ... Infusion = 40mg IV BID ... • Start with EGD ... NonVariceal #UpperGI #Bleeding
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... Bleed (Other than EGD ... bleed may obscure bleeding ... MatthewHoMD #GI ... GIBleed #management #gastroenterology
Reversible Acute Mesenteric Ischemia - A computed tomographic scan showed jejunal dilatation and thinning of the
thinning of the bowel ... Endoscopic examination ... mucosal healing #Clinical ... #Radiology #GI ... #EGD #CT #NEJM